Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug at Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
$130.08
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$271.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$51.19 with Providence vs $799.00 with Healthnet — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Providence | Oscar All Commercial Plans | $51.19 | ↓ -61% |
| Aetna | Medicare Managed Care Plan | $60.23 | ↓ -54% |
| Blue Cross | Anthem Vivity City Of La Other Commercial Plan | $63.10 | ↓ -51% |
| Blue Cross | Anthem Vivity Non City Of La Other Commercial Plan | $71.07 | ↓ -45% |
| Healthnet | Ambetter Hmo | $111.42 | ↓ -14% |
| Healthnet | Hmo/Pos/Ppo | $799.00 | ↑ +514% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $121.77 | $26.25 – $1,951.00 |
| Banner Lassen Medical Center | Susanville | $83.08 | $9.23 – $125.13 |
| Petaluma Valley Hospital | Petaluma | $157.59 | $63.10 – $64.39 |
| Arroyo Grande Hospital | Santa Maria | $93.74 | $24.43 – $995.00 |
| Mark Twain Medical Center | San Andreas | $230.44 | $24.43 – $124.46 |
| French Hospital | San Luis Obispo | $85.85 | $24.43 – $199.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $243.38 | $24.43 – $549.00 |
| Bakersfield Memorial Hospital | Bakersfield | $240.76 | $24.43 – $437.06 |